Individual
AMBYR ROSE STORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, QMHP
Contact information
Practice address
1599 OAK ST, EUGENE, OR 97401-4008
(541) 255-1411
(541) 255-1412
Mailing address
1430 WILLAMETTE ST # 140, EUGENE, OR 97401-4049
(541) 255-1411
(541) 255-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A4910
OR
1041C0700X
Clinical Social Worker
Primary
L10359
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730545211
—
OR
Enumeration date
01/13/2016
Last updated
01/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us